CRC HEALTH GROUP INC. (NPI# 1548302474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548302474 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH GROUP INC. |
| Other Organization Name | BELOIT TREATMENT CENTER |
| Practice Address |
929 Suffolk Dr Janesville WI 53546-1821 |
| Practice Telephone | 6087563546 |
| Mailing Telephone | 6087563546 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GLEN ERIC POFAHL (CSAC) |
| Authorized Official Telephone | 6083130425 |
| Authorized Official Credential | 11121132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
2689 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beloit Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922140953 | Crc Health Group Inc. | Clinic/Center | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-02-13 |
| Street Address |
929 SUFFOLK DR |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777417 | Endeavor Therapy LLC | Clinic/Center | 11649 N Port Washington Rd, Ste 109, Mequon, WI 53092-3460 | 2005-08-11 |
| 1023677184 | Alden Estates of Countryside, Inc. | Clinic/Center | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2019-06-11 |
| 1811280621 | Milwaukee Center for Independence Inc | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2011-05-26 |
| 1992977441 | Midwest Outpatient Therapy | Clinic/Center | 8320 W Beatrice Ct, Milwaukee, WI 53223-1700 | 2008-03-25 |
| 1295927614 | Mcfi Fiscal Agent | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-08-10 |
| 1043438492 | Mercy Medical Center of Oshkosh, Inc | Clinic/Center | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2007-04-23 |
| 1255467403 | New Health Services | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-02-24 |
| 1922140953 | Crc Health Group Inc. | Clinic/Center | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-02-13 |
| 1245376748 | Milwaukee Center for Independence | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| 1972649473 | Milwaukee Center for Independence | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.